Accounts receivable Analyst - Acute

Accounts Receivable Analyst ● reputed company pre-call analysis and reputed company the status by calling the payer or using IVR or web portal services. ● Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference. ● Record after-call actions and reputed company post-call analysis for the claim follow-up. ● Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call. ● reputed company analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments. ● reputed company with reputed company reimbursement and billing procedures for regulatory, third party, and insurance compliance norms. ● Responsible for meeting daily/weekly productivity and quality reasonable work expectations. Responsibilities ● Claim processing and submission. ● Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider. ● Taking denial status from various insurance carriers ● Checking eligibility and verification of policy ● Analysis of the data ● Converting denials into payments ● Follow Health Insurance Portability and Accountability Act (HIPAA) ● Account follow up on fresh claims, denials, and appeals. ● Checking the claim status as per their suspension and denials ● Achieving weekly/monthly production and audit reputed company Qualifications/Requirements ● High School (HSC) or graduate or equivalent with strong analytical skills. ● 1-3 Years of experience in accounts receivable follow-up/denial management for US healthcare. ● Good written and verbal communication skills. ● Knowledge of medical terminology, ICD10, CPT, and HCPC coding. ● Basic working knowledge of computers. ● Willingness to work continuously in night shifts. Preferred ● Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap. ● Familiar with clearinghouse like reputed company, Realmed reputed company, change healthcare, reputed company track. ● Proficiency with MS reputed company, reputed company, reputed company spreadsheet, etc. Other Skills and Abilities ● Ability to work independently with minimal supervision. ● Good analytical skills, assertive in resolving unpaid claims. ● Ability to multi-task and accurately process high volumes of work. ● Strong organizational and time management skills Individual Contributor Apply To This Job